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未来的诊断,今日的治疗 - 银屑病伴发心肌病:病例报告。

Future diagnosis, today's treatment - cardiomyopathy in the course of psoriasis: a case report.

机构信息

Department of Dermatology, Venereology and Paediatric Dermatology, Medical University, Lublin, Poland.

出版信息

Dermatol Ther. 2013 Nov-Dec;26(6):489-92. doi: 10.1111/dth.12021. Epub 2013 Mar 25.

Abstract

Psoriasis is a relatively common, chronic skin disease of inflammatory origin. In recent years, public attention has been drawn to a more and more frequently observed relationship between psoriasis and cardiovascular disease. Nowadays, psoriasis is independently held responsible for increased cardiovascular mortality. It seems that the actual significance of the problem, together with a heart-related death risk for these patients is often underestimated. This study presents clinical evidence collected during a long-term observation and treatment of an 80-year-old psoriatic patient with concomitant diabetes, hypertension, and ischemic heart disease, whose overall clinical picture also suggested a congestive, inflammation-related cardiomyopathy with conduction disorders and severe heart failure. Despite the patient's advanced age and associated serious, long-established psoriasis-related problems, he was successfully treated with the use of interventional cardiology methods, as well as cardiac resynchronization therapy.

摘要

银屑病是一种相对常见的、由炎症引起的慢性皮肤病。近年来,公众越来越关注银屑病与心血管疾病之间越来越频繁观察到的关系。如今,银屑病被认为是导致心血管死亡率增加的一个独立因素。似乎这个问题的实际意义,以及这些患者的心脏相关死亡风险经常被低估。本研究提供了在对一名 80 岁银屑病患者进行长期观察和治疗过程中收集的临床证据,该患者伴有糖尿病、高血压和缺血性心脏病,其整体临床情况还表明存在充血性、炎症相关的心肌病,伴有传导障碍和严重心力衰竭。尽管患者年龄较大,且存在与严重、长期存在的银屑病相关的问题,但他成功地接受了介入心脏病学方法以及心脏再同步治疗。

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